Provider Demographics
NPI:1396717468
Name:FLEWWELLING, ANDREW S (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:S
Last Name:FLEWWELLING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5525 RESEARCH PARK DR FL 4
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4873
Mailing Address - Country:US
Mailing Address - Phone:781-534-7100
Mailing Address - Fax:781-534-7358
Practice Address - Street 1:300 LINDEN PONDS WAY
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3769
Practice Address - Country:US
Practice Address - Phone:781-534-7100
Practice Address - Fax:781-534-7358
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2014-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA226799207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04-61822OtherEVERCARE
1396717468OtherBCBS
MA2115000Medicaid
MAJ29714OtherBLUE CROSS BLUE SHIELD
MA494561OtherTUFTS HEALTH PLAN
MAAA52514OtherHARVARD PILGRIM
A3962201Medicare PIN
MAOX1242Medicare PIN
MAA39622Medicare PIN
MAAA52514OtherHARVARD PILGRIM